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A Old South Asian Woman With A History Of High Blood Pressure

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INTRODUCTION Mrs. E is a 70years old South Asian woman with a history of high blood pressure. She has been taking Aldomet 250mg thrice a day. Her blood pressure ranges between 140/90 and 150/95. Mrs. E has had high blood pressure since she was 40 years. Mrs. E sees her Doctor once a month for follow- up. Mrs. E lives alone. She smokes tobacco. Her 75 years old husband died 2years ago. Her only daughter is married and lives in America. Her 90years old father died of coronary heart disease 5years ago and her mother died of an Aneurysm at 60 years old. She has low levels of daily activity and weighs 68kg, height 1.6m, Body Mass Index of 26.6. She is slightly overweight. Mrs. E reports that she used to jogged in the morning but she stopped because she gets tired easily (she said “It feels like my heart wants to jump out of my chest”). She said it is due to old age. A diet history reveals that Mrs. E likes fried food and salty food. For breakfast, she eats sausage, toast and fried eggs five times a week. For lunch, she usually eats a burger and large fries at Macdonald. She orders pizza for supper. She said she likes to add table salt to her meals because she likes salty foods. She said she does not know her cholesterol level.
Nursing Diagnosis
The nursing diagnosis is Ineffective health Maintenance related to poor dietary habits, lack of regular exercise, smoking and lack of information about lifestyle factors that increases the risk of hypertension and it’s complications

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